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Comparison of international height and BMI-for-age growth references and their correlation with adiposity in Brazilian schoolchildren.
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- Author(s): de Oliveira, Mariane Helen; Costa, Roberto Fernandes da; Fisberg, Mauro; Kruel, Luiz Fernando Martins; Conde, Wolney Lisboa
- Source:
British Journal of Nutrition. 5/28/2024, Vol. 131 Issue 10, p1699-1708. 10p. - Source:
- Additional Information
- Subject Terms: REFERENCE values; WORLD Health Organization; PEARSON correlation (Statistics); ADIPOSE tissues; BODY mass index; RESEARCH funding; SKINFOLD thickness; NUTRITIONAL assessment; SEX distribution; INTERNATIONAL agencies; DESCRIPTIVE statistics; STATURE; NUTRITIONAL status; STATISTICS; GROWTH disorders; COMPARATIVE studies; OBESITY; SENSITIVITY & specificity (Statistics); CHILDREN
- Subject Terms:
- Abstract: This study verified the diagnostic accuracy of the nutritional status classified by the international height and BMI references of the World Health Organization (WHO) (WHO/2007), International Obesity Task Force (IOTF/2012) and MULT (2023). The data pool was composed by 22 737 subjects aged five to 16 years from the Santos and Porto Alegre surveys. A correlation matrix between the z-scores of the BMI references and the skinfold measurements was calculated through the Pearson correlation coefficient (r), and the subject's nutritional status was classified according to the international growth references. The accuracy for diagnosing obesity was performed separately by sex and using the 95th percentile of the triceps and subscapular skinfold sum, while Lin's concordance coefficient, Bland–Altman method and the Cohen's Kappa coefficient (Kappa) were used to verify the concordance and reliability among the BMI references. The correlation matrix showed a high positive correlation among the BMI z-scores (r ≥ 0·99) and among the skinfold measurements (r ≥ 0·86). The prevalence of stunting was higher when applying the MULT reference (3·4 %) compared with the WHO reference (2·3 %). The Bland–Altman plots showed the lowest critical difference (CD) between the height references of WHO and MULT (CD = 0·22). Among the BMI references, the WHO obesity percentile presented lower performance than MULT for boys, presenting a lower +LR value (WHO = 6·99/MULT 18 years = 10·99; 19 years = 8·99; 20 years = 8·09) for the same −LR values (0·04). Therefore, MULT reference holds promise as a valuable tool for diagnosing childhood obesity, particularly when considering sex differences. This enhances its suitability for assessing the nutritional status of Brazilian schoolchildren. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of British Journal of Nutrition is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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